心脏康复患者运动恐惧形成与消退质性研究的Meta整合
Formation and extinction of kinesiophobia in patients attending cardiac rehabilitation:a Meta-synthesis
王子涵 1岳雯静 1张向毅 1康晓凤 1霍春颖 2王月2
作者信息
- 1. 中国医学科学院北京协和医学院护理学院,100144 北京市
- 2. 中国医学科学院阜外医院成人外科二病区
- 折叠
摘要
目的:整合心脏康复患者运动恐惧的体验与感受,为提高患者康复依从性提供依据.方法:检索中英文相关数据库,对符合纳入标准的研究文献进行质量评价,依据质性研究的Meta整合原理进行归纳.结果:共纳入7 篇文献,整理出8 个类别 47个主题,归纳为3 个整合结果:运动恐惧的形成、泛化、消退.结论:心血管病患者运动恐惧形成分条件反射性和社会习得性,医护人员应从提高认知能力、改善运动体验、构建多方支持系统,抑制恐惧泛化,促进恐惧消退.
Abstract
Objective:To integrate the formation and extinction mechanism of kinesiophobia in patients attending cardiac rehabilitation,and to provide evidence for improving patients'compliance of rehabilitation.Methods:The Chinese and English databases were searched.The quality of the literatures that met the inclusion criteria was evaluated,and the results were summarized according to the Meta-synthesis principle of qualitative research.Results:A total of seven articles were included.Eight categories and 47 themes were extracted and summarized into 3 integrated results:the formation,generalization,extinction of kinesiophobia.Conclusion:The formation of kinesiophobia in patients attending cardiac rehabilitation is due to the conditioned reflex and social acquisition.Medical and nursing staff should improve patients'cognitive ability,improve their exercise experience,and build a multi-support system to inhibit the generalization of kinesiophobia and promote the extinction of kinesiophobia.
关键词
心脏康复/运动恐惧/Meta整合/质性研究Key words
cardiac rehabilitation/kinesiophobia/Meta-synthesis/qualitative study引用本文复制引用
基金项目
中华医学会杂志社护理学科研究课题(CMAPH-NRG2022015)
阜外医院护理专项(HLZX2023007)
出版年
2024